Individual
MRS. DIANA MARITZA TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 426-1903
Mailing address
1010 S 32ND AVE, YAKIMA, WA 98902-4026
(509) 831-6332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60496771
WA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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